{"data":{"id":"us-co/c.r.s.-25.5-5-504","jurisdiction":"us-co","citation":"C.R.S. § 25.5-5-504","heading":"Providers of pharmaceutical services.","body":"(1) Consistent with the provisions of section 25.5-4-401 (1) and subsections (2) and (3) of this section, and subject to available appropriations, no provider of pharmaceutical services who meets the conditions imposed by this article 5 and articles 4 and 6 of this title 25.5 and who complies with the terms and conditions established by the state department and contracting health maintenance organizations and prepaid health plans shall be excluded from contracting for the provision of pharmaceutical services to members authorized in this article 5 and articles 4 and 6 of this title 25.5.\n\n(2) This provision does not apply to a health maintenance organization or prepaid health plan that enrolls less than forty percent of all the resident medicaid members in any county with over one thousand medicaid members.\n\n(3) The state board shall establish specifications in rules in order to provide criteria to health maintenance organizations and prepaid health plans that ensure the accessibility and quality of service to members and the terms and conditions for pharmaceutical contracts.","path":["Title 25.5 - HEALTH CARE POLICY AND FINANCING","Article 5 - Colorado Medical Assistance Act - Services and Programs","Part 5 - PRESCRIPTION DRUGS"],"source_url":"https://olls.info/crs/crs2026-title-25.5.htm","current_through":"Colorado Revised Statutes 2026","vintage":"","retrieved_at":"2026-09-14T18:37:45Z","sha256":"13985923884400664284cab059aa114eb61c25d2fa22ae6af5a78c488c6101b5","source_id":"us-co","stale":false,"prev":"us-co/c.r.s.-25.5-5-503","next":"us-co/c.r.s.-25.5-5-505"},"notice":"GroundRules: Original legal text. Not legal advice."}